The Efficacy And Clinical Value Of The Modified Billrothll-gastrectomy Combined Brauns Anastomosis With Input Loop Closed

Abjective:to investigate the efficacy and clinical value of the modified BillrothⅡ-gastrectomy combined Brauns anastomosis with input loop closed.Methods:From Jan2008to Jan2012, the clinical data of156cases patients with gastric or duodenal diseases were reviewed. ALL patients were treated by surgery in our hospital and the follow-up lasted6to36months.Results:The incidence of the postoperative bile reflux gastritis of the modified BillrothⅡ-gastrectomy combined Brauns anastomosis with input loop closed was14.29%. The incidence of dumping syndrome of the modified BillrothⅡ-gastrectomy combined Brauns anastomosis with input loop closed was2.86%. The incidence of gastric paralysis of the modified BillrothⅡ-gastrectomy combined Brauns anastomosis with input loop closed was2.86%. The incidence of duodenal stumo leakage of the modified BillrothⅡ-gastrectomy combined Brauns anastomosis with input loop closed was0%.Compare with traditional BillrothⅡ-gastrectomy combined Brauns anastomosis and traditional BillrothⅡ-gastrectomy, the modified BillrothⅡ-gastrectomy combined Brauns anastomosis with input loop closed has lower postoperative complications.Conclusions:the modified BillrothⅡ-gastrectomy combined Brauns anastomosis with input loop closed can effectively reduce the occurrence of bile reflux gastritis, duodenal stump fistula, gastroparesis syndrome, dumping syndrome.